| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.69 | $27.69 | $97.90 | |
Aetna
| Professional | $17.20 | $27.97 | $27.97 | |
Moda Health
| Facility | $40.00 | $40.00 | $40.00 | |
Providence
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Professional | $20.72 | $31.08 | $41.80 |